Considering medicine, need serious guidance!

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lightthefuse

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I am currently (technically) a high school senior dual enrolled at a community college and poised to attend a rather mediocre flagship state school this fall. (This could be placed in hSDN, but I felt it could also be appropriately placed here. I want to graduate in 2014, if possible.) For the past nine or so months, I have been making serious considerations on a regular basis about my career path. I’m at the point where if someone asks me what I plan to do for a living, major in, etc., all I have to offer is “I’m not sure yet.” When I was in middle school, I professed a desire to be a pediatric neurosurgeon, but that idea has given way to doubt.

For a while, I overlooked medicine as a possibility, but now I’m cautiously reconsidering it. The following are my main issues:

1. Time. At least four years for undergrad, four years for med school, then at least three years for residency. If I went directly through that process with no breaks in between, I’d be finished with my education (the literal portion, at least) at 27 at the earliest. I’m not overly concerned with getting through the system as quickly as possible, and I know that 27 isn’t old in the slightest, but still. That is quite a while, a good chunk of my youth.

2. Cost. Med school is a huge investment, and I am highly debt averse. There’s no trust fund for me, and the amount of debt that med school involves would mean that the debt would follow me for a good portion of my life, decreasing my attractiveness to future creditors and limiting the cash flow to other expenses. There’s also the opportunity cost I would incur by choosing this path.

3. Lifestyle, both during and after school. I worry that with the salary of a resident (usually 40-50K, please correct me if necessary) and the monthly cost of repaying loans, I’ll be living like a student for a very long while. I also would like to eventually become a mother, and I’m concerned about both the amount of time I’ll be able to devote to my kids and the reality that infertility decreases with age. (I know, I’m only 17. But by the time I’m finished with med school or close to it, this could be a real issue.)

4. The future of medicine. I’m currently trying to become informed on political and economic issues, though I still have a ways to go. I’m aware, though, that the changes that are happening to the way health care is handled in America could have a negative effect on not only doctors, but the allied health professions as well. My primary reason for becoming a doctor would not be monetary, but if I’m going to spend that much effort, time, and money to be a doctor, I’d like to be adequately compensated. (Is that so wrong? Knock me upside the head if necessary!) It seems that doctors (especially in primary care) are being stretched more and having to worry more about reimbursement.

And yet, despite all of this, I still find myself attached to the possibility of being a doctor. I find medicine and human physiology really fascinating; I see medicine as something that I could eventually love, even though I have very little clinical experience to determine such a thing.

There are the obvious options of nursing, PA, podiatry, optometry, etc. There would be less sacrifice involved in those paths, but I place a high value on knowledge. I’m not sure I’d be satisfied knowing that I could have known more and did more.

Some might say that all my worrying is premature, that I won’t need to be thinking about all of this for a while. Honestly, I wonder how that can be true when I think about how competitive admissions are and all the things it takes to be a competitive applicant (i.e. recommendations, test scores, GPA, clinical experience, volunteering, etc.). Isn’t it true that the more time I have to get these things together, the better? Again, correct me if I’m wrong.

I’ve considered possibilities outside of medicine (e.g careers in engineering, math, physics, computer science), but none of them combine the natural interest and security that medicine does for me.

…I was going to say more, but after looking at the novel I just wrote, it’s probably better that I’ve drawn a blank. I truly appreciate anyone who took the time to read all (or even some!) of that. As I’ve been brooding over this for a long time, I appreciate any and all wisdom you guys have to offer!
 
i have a manuscript to edit, so obviously i need to avoid doing that by surfing SDN...

you're right, i'm going to tell you it's early to be freaking out. not early to be thinking but early to be freaking out. go to college. major in whatever you enjoy learning about. plan on taking the premed prereqs during college. keep your GPA up. while there, volunteer in a clinical setting and shadow MDs, DOs, PAs, NPs, whatever you're considering, go to talk to those people and follow them around, because that's potentially your day to day life. over the next couple of years you'll be gathering a ton of info to assimilate, and your decision will become a lot more informed. not being positive where you are in life right now is completely normal.

medicine takes forever and costs a ton, but if by mcat/app time you really know it's for you, you won't care. it'll be an investment cost worth paying. relax about your bebbehs too. planning to get a whole career in line the way you plot it out and then have perfect family time is fine in theory, but then there's that line about life being what happens while you're making other plans. lots of people have babies after 27, and lots of people manage to have babies sometime during their medical training as well. i know one, myself.

caveats here with my POV is i'm a nontrad, will be 29-30 just entering school. but it should drive home that i've thought about the OMG gonna take forever and i'll be ancient and infertile (i'm a girl too) aspect of things.
 
What's your actual question?

Some general thoughts:
- Don't try to rush through college. Especially since you're still really unsure of what you want to do you are not giving yourself a lot of time to explore other options or majors in college.

- Even though you're taking dual enrollment, be careful if taking science courses that way as you may need to retake some if you want them to apply as med school pre-reqs. And each college is different, but if you have to transfer those credits sometimes they don't count towards a specific major but are treated as general credit instead. This applies more for AP courses, but I've seen it with some dual enrollment stuff as well.

- No one here is going to be able to tell you if this is the right path for you. That's something you're going to have to decide. But I would recommend start doing some clinical shadowing/volunteering to hopefully get a glimpse of what this career is about. Hopefully it will help you decide if this is for you or not.
 
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